RESUMO
Objetivo Analizar y comparar los elementos y características estructurales que permiten establecer un modelo sobre la disminución (superior o igual al 25%) de la infección por VIH/SIDA, en 22 países durante el periodo 2001-2011. MétodoCohorte retrospectiva enfocada desde la perspectiva de los determinantes sociales de la salud. La metodología fue desarrollada en 2 etapas: revisión documental (comportamiento de la epidemia) y cuantitativa (modelo de regresión lineal simple para variables económicas y de salud). Resultados Los indicadores que podrían influir sobre el comportamiento del decrecimiento de la prevalencia del VIH son: el PIB Per cápita, el gasto de salud Per cápita y el índice de Gini. Conclusiones Los Determinantes estructurales, así como la inequidades pueden condicionar o no el decrecimiento de la prevalencia del VIH, hipótesis que podría aplicarse a otros problemas de salud pública.(AU)
Objective The present study aims analyze and compare structural features in order to establish a model about the decline in HIV/AIDS infection (greater than or equal to 25 %) in twenty-two countries between 2001 and 2011. Methods Retrospective cohort focused on social determinants of health perspective. The methodology was mainly documentary (epidemic behavior) and quantitative (simple linear regression model for economic and health variables). Results The major indicators that influence the decrease in the prevalence of HIV are: GDP per capita, health expenditure per capita and the Gini index Conclusions Structural determinants, as well as inequities, may or not influence the decrease in prevalence of HIV. This hypothesis could be applied to other public health issues.(AU)
Assuntos
Humanos , Infecções por HIV/epidemiologia , HIV , Prevalência , Estudos Retrospectivos , Estudos de Coortes , Determinantes Sociais da SaúdeRESUMO
OBJECTIVE: The present study aims analyze and compare structural features in order to establish a model about the decline in HIV/AIDS infection (greater than or equal to 25 %) in twenty-two countries between 2001 and 2011. METHODS: Retrospective cohort focused on social determinants of health perspective. The methodology was mainly documentary (epidemic behavior) and quantitative (simple linear regression model for economic and health variables). RESULTS: The major indicators that influence the decrease in the prevalence of HIV are: GDP per capita, health expenditure per capita and the Gini index CONCLUSIONS: Structural determinants, as well as inequities, may or not influence the decrease in prevalence of HIV. This hypothesis could be applied to other public health issues.